Surgical delivery devices, systems, and methods

ABSTRACT

A device for delivering an implant to a surgical location of a patient is provided. In some embodiments, an example device includes a polymer body having first and second tapered sections and a sealed cavity defined by the polymer body. The polymer body is separable between the first and second tapered sections.

CROSS-REFERENCE TO RELATED APPLICATION(S)

This is a continuation of U.S. patent application Ser. No. 17/092,017filed on Nov. 6, 2020 and “SURGICAL DELIVERY DEVICES, SYSTEMS, ANDMETHODS,” the entire contents of which are incorporated herein byreference.

TECHNICAL FIELD

This document describes surgical delivery devices, systems, and methods,for example, surgical delivery devices that facilitate delivery of animplant to a surgical location.

BACKGROUND

Implants have been surgically delivered to provide heath and/or cosmeticbenefits to the recipient, such as prosthetic devices, organs, tissues,etc. The implants may be carefully delivered by a healthcarepractitioner to achieve a desired positioning within a surgical pocket.

SUMMARY

Some embodiments described herein include surgical delivery devices,systems, and methods that facilitate delivery of an implant into apatient, such as a silicone implant configured to reside under aperson's skin. For example, a surgical delivery device can provide aflexible sleeve or guide into which an implant can be loaded andsubsequently dispensed toward a targeted site, such as optionally asurgical opening of a patient. The surgical delivery device canoptionally facilitate sterile handling of the implant, and deliverythrough a relatively small surgical opening (e.g., compared to the sizeof the implant, the surgical pocket under the skin, or both). In anexample embodiment, the surgical delivery device is customizable at atime of use in the operating environment to achieve any of a variety ofshapes that suit a particular application, patient anatomy, deliverylocation on the patient, surgical opening size, implant size/type,and/or healthcare practitioner ergonomics and operating preferences.

Some surgical delivery devices disclosed herein can be selectivelyshaped as desired by a practitioner to provide, for example, a tubularsleeve, a tapered guide conduit (e.g., which may provide a taperedregion between a wider first end and a narrower second end), a pair oftapered guide conduits, or other selected shapes. The surgical deliverydevice optionally includes one or more handles, which can be suitablefor a user to open or manipulate the delivery device without directlycontacting an interior wall of the device. The handles can be attachedon an exterior of the device, (e.g., an exterior of a polymer sheet thatforms the sleeve or tapered guide conduit), and can facilitatemanipulation of the surgical delivery device without contacting aninterior surface or lateral edges of the device. For example, thehandles can provide a grasping location when expanding the surgicaldelivery device into a sleeve, tapered guide conduit, or other selectedshape, such as by pulling opposite sides of the device away from oneanother. In some embodiments, the user may elect to contact edges orinterior of the device with a properly sterilized glove, instrument,etc., as an alternative or in addition to grasping the handles.

In some embodiments, the surgical delivery device is optionallyconstructed of first and second polymer sheets that are joined around aperimeter to define a sealed cavity. At a time of use, the surgicaldelivery device can be cut to unseal the cavity and/or provide one ormore openings sized to receive and/or dispense an implant.

Some example surgical delivery devices are configured to be separableinto two or more delivery sleeves or tapered guide conduits. A singlesurgical delivery device can thus provide two portions that can be usedindependently to deliver first and second implants, such as a pair ofbreast, gluteal, or calf implants. The single surgical delivery deviceis separated by cutting (e.g., using a surgical scissors, Mayo scissors,surgical blade, or other sterilized cutting instrument), tearing, orotherwise dividing the surgical delivery device into two or moreportions. The surgical delivery device optionally defines a sealedcavity when packaged and does not include an opening to an interior ofthe surgical delivery device (e.g., to an interior of polymer sheetsthat define the cavity). The sealed cavity can be unsealed when cut atthe time of use in the operating environment.

Particular embodiments described herein provide a method of using asurgical delivery device, including cutting a surgical delivery deviceinto first and second portions, cutting a sealed end region of the firstportion to provide a delivery opening, expanding the first portion ofthe delivery device, loading an implant within the cavity of the firstportion, and dispensing the implant into the surgical opening throughthe end opening of the first portion.

In some implementations, the system can optionally include one or moreof the following features. The method can include unfolding the surgicaldelivery device before cutting the surgical delivery device into firstand second portions. The surgical delivery device can be in a planarconfiguration when cutting the surgical delivery device into first andsecond portions. Before cutting the surgical delivery device, thesurgical delivery device can define a sealed cavity. The sealed cavitycan be defined between two planar flexible polymer sheets. The sealedcavity can contain a lubricant. The method can include kneading thesurgical delivery device to spread the lubricant along the interiorsurface of the cavity. The cavity can include a cylindrical section anda tapered section. The end opening of the first portion can have a sizecorresponding to a surgical opening of a patient. The end opening of thefirst portion can have a size corresponding to a size of the implant tobe delivered to the patient. Expanding the first portion can includegrasping handles located on the exterior of the first portion. Cuttingthe sealed end region of the first portion can include using a sizingtool to select a location to cut the sealed end region. The method caninclude cutting an end region of the second portion to provide an endopening having a size corresponding to a surgical opening of a patient,expanding the second portion of the delivery device, positioning asecond implant within a cavity of the second portion, and dispensing thesecond implant into the surgical opening through the end opening of thesecond portion.

Particular embodiments described herein provide a device for deliveringan implant into a surgical opening of a patient. The device includes apolymer body having first and second tapered sections and a sealedcavity defined by the polymer body. The polymer body is separablebetween the first and second tapered sections.

In some implementations, the system can optionally include one or moreof the following features. The polymer body can include a rectangularsection between the first and second tapered sections. The polymer bodycan include first and second planar sheets, the first planar sheetsealed to the second planar sheet around a perimeter of the first planarsheet. The polymer body can be entirely opaque. The device can include aseries of indicia on the polymer body located at ends of each of thefirst and second tapered sections. The device can include one or moremarkings indicative of a predetermined cut locations. The one or moremarkings can be indicative of predetermined cut locations that include afirst marking at a midline of the polymer body, a second marking betweenthe rectangular section and the first tapered section, and a thirdmarking between the rectangular section and the second tapered section.

The devices, system, and techniques described herein may provide one ormore of the following advantages. First, some embodiments describedherein include a surgical delivery device that is separable into two ormore sleeves or tapered guide conduits. A single surgical deliverydevice can be separable at a time of use to provide multiple sleeves ortapered guide conduits. Such a configuration may promote sterility andefficiency in the operating environment, and/or facilitate delivery of apair or group of implants, such as a pair of breast, gluteal, or calfimplants, etc.

Second, some embodiments described herein include a sealed/sterilecavity when packaged. For example, the surgical delivery device can beunsealed (e.g., by cutting the surgical delivery device into two or moreportions) at the time of use in the operating environment. Such aconfiguration can promote sterility of the interior of the surgicaldelivery device, and promote efficiency by streamlining sterilizationprocedures before introducing the surgical delivery device into asterile surgical field.

Third, a size of the delivery opening can be selected to impart adesired level of compression or conformance on the implant as it isdelivered through the delivery opening. For example, the surgicaldelivery device can be customized at a time of use to have a relativelysmall opening for delivery of implants (e.g., breast, gluteal, or calfimplants, etc.) that are readily conformable, and/or that may becompressed during delivery to facilitate positioning of the implantwithin the surgical pocket of the patient. The surgical delivery devicecan be customized at a time of use to have a relatively larger openingfor delivery of implants (e.g., tissues, organs, etc.) withoutcompression or conformance of the implant as it is dispensed.

Fourth, a degree of taper or relative difference in size betweenopenings at opposite ends may be customized. For example, an examplesurgical delivery device can be customizable to have no taper betweenfirst and second opposite end openings, such that the first and secondopenings have a same size. In some embodiments, the surgical deliverydevice can be customizable to have a substantial taper between first andsecond ends. Such customizability provides flexibility to a healthcarepractitioner in selecting a surgical delivery device configuration thatpromotes effective and efficient delivery of an implant. The surgicaldelivery device configuration can be selected, for example, based on oneor more of the application, patient anatomy, delivery location on thepatient, surgical opening size, implant size, implant type, and/orhealthcare practitioner ergonomics and operating preferences.

Fifth, some surgical delivery devices described herein facilitatehandling and manipulation by the healthcare practitioner. For example,handles on an outside of the surgical delivery device facilitatemanipulation without direct contact with inner surfaces or lateral edgesof the device, promoting sterility during use. The handles may provide agrasping location as an alternative or in addition to the practitionercontacting edges or an interior of the device with a properly sterilizedglove, instrument, etc. Alternatively or additionally, handles canprovide secure grasping locations that facilitate handling by thehealthcare practitioner while loading the implant and or delivery of theimplant through the surgical delivery device.

Sixth, some embodiments described herein facilitate delivery of arelatively large implant through a relatively small surgical opening. Asize of a delivery opening of the surgical delivery device may beselected based on the size of the implant and/or surgical opening. Theimplant can be compressed, elastically deformed, or otherwise conformedto fit through the surgical opening as the implant is dispensed throughthe delivery opening. Some example surgical devices described herein canthus facilitate use of a small surgical opening, reducing patient traumaand improving patient outcomes.

Seventh, some surgical delivery devices described herein facilitateefficient manufacturing that provides a robust construction that can bemanufactured efficiently in large quantities. For example, in someoptional embodiments, planar sheets of flexible polymer material can beefficiently cut and attached to one another to form the surgicaldelivery device, such as by heat welding first and second planar sheetsto form a body of the surgical delivery device, and attaching additionalplanar polymer sheets (e.g., to an exterior of one or both of the firstand second planar sheets) to form one or more handles.

The details of one or more implementations are set forth in theaccompanying drawings and the description below. Other features andadvantages will be apparent from the description and drawings, and fromthe claims.

DESCRIPTION OF DRAWINGS

FIG. 1 is a perspective view of an example surgical delivery device inuse.

FIG. 2 is a plan view of an example surgical delivery device.

FIG. 3 is a sizing tool for use with the example surgical deliverydevice of FIG. 2.

FIG. 4 is an exploded view of an example surgical delivery device.

FIGS. 5A-5G show use of an example surgical delivery device.

FIG. 6 shows an example surgical device separated into multipleportions.

FIG. 7A shows an example surgical delivery device.

FIG. 7B shows the surgical delivery device portion of FIG. 7A in use.

DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS

Referring to FIG. 1, an example surgical delivery device 100 is shown.Surgical delivery device 100 facilitates delivery of an implant 5 into asurgical opening 11 of a patient. For example, surgical delivery device100 can be optionally shaped to provide at least one tapered guideconduit 110 that defines an internal cavity to receive implant 5, and adelivery opening 115 to dispense the implant into a targeted surgicalopening 11. Surgical delivery device 100 may facilitate efficienthandling and delivery of an implant into a patient, while reducing thelikelihood or frequency of a user directly contacting the implant 5and/or an interior of surgical delivery device 100.

Surgical delivery device 100 includes one or more features thatfacilitate handling and manipulation of surgical delivery device 100. Inan example embodiment, surgical delivery device 100 includes one or morehandles 130 on an exterior of surgical delivery device 100 that providegrasping locations for a user 10. For example, handles 130 canfacilitate opening surgical delivery device 100 (e.g., by pullingopposite sides of surgical delivery device 100 away from one another).Alternatively or additionally, handles 130 can facilitate a secure gripwhen force is exerted on surgical delivery device 100, such as when animplant is loaded into surgical delivery device 100. After an implanthas been loaded into the surgical delivery device 100, implant 5 may bemanipulated (e.g., via flexible walls 111 and/or handles 130) todispense implant 5 through delivery opening 115 and into surgicalopening 11.

Surgical delivery device 100 facilitates delivery of implant 5 throughsurgical opening 11 and into a patient. For example, delivery opening115 can be about the same size or slightly smaller than surgical opening11, and/or smaller than implant 5. A relatively small delivery opening115 can facilitate delivery of a relatively larger implant 5 intosurgical opening 11. The walls 111 of surgical delivery device 100 canfacilitate compression of implant 5 as implant 5 moves toward andthrough delivery opening 115, reducing a dimension of implant 5 in atleast one direction. Surgical delivery device 100 can thus facilitatedelivery of a relatively large implant 5 through a relatively smallsurgical opening 11, reducing patient trauma and facilitating positivepatient outcomes.

In various example embodiments, surgical delivery device 100 iscompatible with various types of implants and surgical applications. Forexample, surgical delivery device 100 can facilitate handling anddelivery of a prosthetic implant 5, such as a breast, gluteal, calf,pectoral, and/or facial implant. Optionally, prosthetic implant 5 is asilicone implant structure that is flexible and configured to reside ina targeted surgical pocket under a patient's skin. Prosthetic implant 5can be loaded into the surgical delivery device (e.g., directly from thesterile packaging of the implant 5), and then compressed, conformed, orotherwise manipulated via the surgical delivery device 100 as it isdispensed into a surgical opening. Alternatively or additionally,surgical deliver device 100 facilitates handling and delivery of atissue implant 5, such as an organ, tissue, or other cellular implant.As described in detail below, the user can select/customize the size andshape of the surgical delivery device 100, load the implant 5(prosthetic or tissue) into the surgical delivery device 100, and thendirect the implant 5 through the surgical delivery device 100 (fordispensation through the delivery opening 115) and into the surgicalopening—all of which can be optionally achieved without directlycontacting the implant 5 with the user's (gloved) hands. Alternatively,the user may elect to manually adjust or otherwise directly manipulatethe implant 5 with the user's (gloved) hands during loading or duringtransfer through the delivery device 100 so as to facilitate a preferredorientation or position of the implant within the delivery device 100.

Referring now to FIG. 2, a plan view of an example surgical deliverydevice 200 is shown. In various example embodiments, surgical deliverydevice 200 includes one or more features as described herein withreference to surgical delivery device 100.

Surgical delivery device 200 facilitates efficient and effectivedelivery of an implant through a surgical opening of a patient. Surgicaldelivery device 200 is customizable at a point of use, such as in asurgical theater or other operating environment, to provide one or morecustomized delivery sleeves, tapered guide conduits, or other guidestructures having a selected geometry for the user's particularapplication. For example, surgical delivery device 200 can be customizedto provide a selected taper and/or one or more openings having aselected size based on the application, patient anatomy, deliverylocation on the patient, surgical opening size, implant size, implanttype, and/or healthcare practitioner ergonomics and operatingpreferences.

Surgical delivery device 200 includes a polymer body 221 that defines aninternal cavity 222. Polymer body 221 may be made from one or moreflexible polymer materials. For example, polymer body 221 includes oneor more flexible polymer layers that define cavity 222. In an exampleembodiment, polymer body 221 includes first and second flexible polymersheets 224, 225. First flexible polymer sheet 224 is attached to secondflexible polymer sheet 225 to define cavity 222 between first and secondflexible polymer sheets 224, 225. In an example embodiment, polymer body221 includes one or more seams 223 where first flexible polymer sheet224 is attached to second flexible polymer sheet 225. The first andsecond flexible polymer sheets 224, 225 can be joined by heat staking toform seam 223. Alternatively or additionally, first and second flexiblepolymer sheets 224, 225 can be joined by welding, adhesive, rivets, etc.

In some embodiments, polymer body 221 is formed by a single flexiblepolymer layer or sheet 224. The single flexible polymer layer or sheet224 is folded and attached to itself to define cavity 222. Alternativelyor additionally, the single polymer layer or sheet 224 is provided by anextruded or formed polymer layer that does not include a visible seam,includes only one or more seams at opposite narrow ends, or is otherwiseformed without a visible seam (e.g., without a seam along the length ofpolymer body 221).

In an example embodiment, cavity 222 is entirely sealed such thatsurgical delivery device 200 does not include an opening into cavity 222(e.g., when packaged). Such a configuration can promote sterility ofcavity 222, reducing or streamlining sterilization procedures in theoperating environment at the time of use. In some embodiments, alubricant (e.g., a wet lubricant, dry lubricant, non-film lubricant),antimicrobial/antibiotic material, and/or other component may beprovided in cavity 222 (e.g., at a time of manufacture before entirelysealing cavity 222). An entirely sealed cavity can facilitate storage ofsuch components without leaking, oxidation, or contamination. In someembodiments, one or both ends may be open such that cavity 222 is notentirely sealed.

In various example embodiments, the lubricant provided in cavity 222 canbe a wet lubricant, such as a propylene glycol gel lubricant. The cavity222 can be entirely sealed to contain the wet lubricant within cavity222, and/or to prevent the wet lubricant from drying or otherwisedegrading. In some embodiments, the lubricant can be a dry lubricant.The dry lubricant can be sprayed or otherwise delivered into cavity 222.The cavity 222 can be at least partially open or unsealed entirelysealed. For example, one or both ends of surgical delivery device 200may remain unsealed when packaged for delivery at the time ofmanufacture. The dry lubricant may be lubricious in a dry conditionand/or activated or enhanced when wetted. In an example embodiment, thedry lubricant provides lubrication without forming a film (e.g., the drylubricant does not create a film when wetted and functioning as alubricant).

Surgical delivery device 200 has a shape that facilitates separationinto one or more tubular sleeves or tapered guide conduits (e.g.,non-symmetrical tapered guide conduits), and/or delivery of an implantthrough the one or more sleeves or tapered guide conduits. In an exampleembodiment, when in a flattened configuration, surgical delivery device200 includes a generally trapezoidal shape having a rectangular section226, and one or more tapered sections 227, 228. For example, rectangularsection 226 may be a middle section located between tapered sections227, 228. In an example embodiment, rectangular section 226 has aconsistent diameter along its length, and is manipulable into anexpanded configuration to define a cylindrical sleeve portion. Taperedsections 227, 228 have a triangular shape that tapers betweenrectangular section 226 and ends 229 a, 229 b, and are manipulable intoan expanded configuration to define tapered guide portions.

In an example embodiment, an edge 227 a of tapered section 227 definesan angle α relative to an edge 226 a of rectangular section 226. Alarger angle α can provide a relatively shallower taper and/or arelatively longer tapered section 227, and a smaller angle α can providea relatively steeper transition and/or a shorter tapered section 227. Invarious example embodiments, angle α is between 110° and 170°, 130° and160°, or about 150°. Alternatively or additionally, an edge 227 b oftapered section 227 defines an angle β relative to an edge 226 b ofrectangular section 226. In an example embodiment, edges 227 b and 226 bare colinear, such that angle β is 180°. In such embodiments, thetapered section 227 includes a tapered edge 227 a that is opposite froma non-tapered edge 227 b. The device can be expanded to define anon-symmetrical tapered delivery conduit. In alternative exampleembodiments, angle β is between 110° and 170°, 130° and 160°, or about150°.

Tapered section 228 has similar proportions to tapered section 227. Forexample, tapered section 228 has the same proportions and angles astapered section 227. Cutting the surgical delivery device in half yieldstwo surgical delivery device portions having the same geometry. In anexample embodiment, the tapered section 228 has the same geometry astapered section 227 and is not arranged as a mirror image of taperedsection 227. Such a configuration can facilitate efficient manufacturingby allowing multiple polymer body portions to be cut while reducingwaste material.

In some embodiments, tapered section 228 has one or more differentdimensions compared to tapered section 227. Tapered sections 228, 227having different dimensions can provide a sleeve or tapered guideconduit having different geometry, and/or facilitate customizability bythe user.

Surgical delivery device 200 includes one or more handles 230. Handles230 facilitate manipulation of the surgical delivery device. In anexample embodiment, surgical delivery device 200 includes multiplehandles 230 at different locations. Surgical delivery device 200 can becut into two or more portions while each of those portions include oneor more handles 230. Alternatively or additionally, multiple handles 230are provided on opposite sides of surgical delivery device 200. Handles230 positioned on opposite sides of surgical delivery device 200 canfacilitate adjustment of surgical delivery device 200 into an expandedconfiguration (e.g., after making a cut through surgical delivery device200). In an example embodiment, rectangular section 226 includes twosets of handles 230 on opposite sides of surgical delivery device 200,and each of tapered sections 227, 228, include one set of handles 230 onopposite sides of surgical delivery device 200.

Handles 230 are attached to an exterior of surgical delivery device 200.In an example embodiment, handles 230 include strips of polymer materialattached with polymer body 221. Handles 230 are welded or otherwisesecured with body 221 to form a flap or tab that can be grasped by theuser. Handles 230 lay flat against a portion of body 221 when surgicaldelivery device 200 is in a planar configuration, and at least partiallyextend outwards from body 221 when grasped by a user. In some exampleembodiments, handle 230 are integrally formed as a portion of body 221(e.g., a portion of flexible polymer layers 224 and/or 225).

In an example embodiment, surgical delivery device 200 is opaque. Forexample, the flexible polymer material of body 221 is a white polymersuch that body 221 is not transparent. An implant or other materialwithin cavity 222 is not readily visible through the body 221.Alternatively, some or all of body 221 can be substantially transparentsuch that an implant or other material within cavity 222 is at leastpartially visible. For example, body 221 can include one or moretransparent windows, such as a strip of transparent material 237 thatextends partially or completely between ends 229 a, 229 b. In an exampleembodiment, body 221 is not mostly or entirely transparent.

Surgical delivery device 200 includes indicia that facilitatescustomization and/or use. For example, surgical delivery device 200includes markings 241 that designate predetermined cut locations.Surgical delivery device 200 includes a cut location marking 241 acrossa midline of surgical delivery device 200, at an interface betweenrectangular section 226 and tapered sections 227, 228, respectively, andat one or more locations of surgical device 200, such as across taperedsections 227, 228. The user can cut or otherwise separate surgicaldelivery device 200 at these locations to form two or more surgicaldelivery device portions having predetermined geometries. In an exampleembodiment, markings 241 include printed indicia. Alternatively oradditionally, markings 241 include a weakened line or other physicalfeature that facilitates cutting or separation of surgical deliverydevice 200.

Surgical delivery device 200 includes a series of markings 242 proximateends 229 a, 229 b that facilitate creation of a delivery opening havinga predetermined size or geometry. In an example embodiment, markings 242include a series of lines that differ in visual appearance andcorrespond to different delivery opening sizes. For example, themarkings can correspond to a width, circumference, diameter, etc., atthe location of the respective marking on surgical delivery device 200,such as a width, circumference, diameter of 4.0 cm, 4.5 cm, 5.0 cm, 5.5cm, 6.0 cm, 6.5 cm, 7.0 cm, 7.5 cm, 8.0 cm. Alternatively oradditionally, the markings can correspond to a predetermined openingsize to accommodate a particular implant size. For example, the markingscan correspond to a predetermined opening size to accommodate an implantless than 315 cc, between 315 cc and 500 cc, 500 cc and 550 cc, 550 ccand 600 cc, 600 cc and 650 cc, 650 cc and 700 cc, or greater than 700cc, for example. The user can cut along a selected line to create adelivery opening having a predetermined size suitable for a particularapplication. In various example embodiments, each of ends 229 a, 229 binclude between 3 and 20, 5 and 15, or 6 and 10 markings 242.

Referring now to FIG. 3, an example sizing tool 350 is shown. The sizingtool can be used to select an appropriate delivery opening size. Forexample, sizing tool 350 includes one or more markings 352 correspondingto one or more of markings 242 (FIG. 2) proximate ends 229 a, 229 b ofsurgical delivery device 200. Markings 352 include delivery openingsizes and/or implant characteristics (e.g., volume) associated withparticular markings 242.

During use, the user can locate the marking 352 that lists a desireddelivery opening size and/or implant characteristic. The user can thenlocate the corresponding marking 242 based on the matching visualappearance (e.g., color, line type, etc.) on surgical delivery device200. Surgical delivery device 200 can be cut along the identified lineto create a delivery opening having the selected size.

In some embodiments, sizing tool 350 can be used to create deliveryopenings having predetermined sizes instead of markings on surgicaldeliver device 200 (e.g., instead of markings 242). For example, a usercan align sizing tool 350 with an end 229 a, 229 b of surgical deliverdevice 200 to determine where to cut the surgical delivery device.Sizing tool 350 thus serves as a measuring tool that can be used tomeasure and/or identify a cut location at ends 229 a, 229 b.

Sizing tool 350 includes a handle or grasping portion 355. The graspingportion can include an enlarged area to facilitate handling.Alternatively or additionally, sizing tool 350 includes indicia of ahand 356 that provides a visual instruction that the sizing tool 350 canbe handled using grasping portion 355, and/or indicia or physicalfeatures that facilitate alignment with ends 229 a, 229 b, whenidentifying a cut location on surgical delivery device 200.

Referring now to FIG. 4, a partial exploded view of an example surgicaldelivery device 400 is shown. In various example embodiments, surgicaldelivery device 400 includes one or more features as described hereinwith reference to surgical delivery devices 100 and 200.

Surgical delivery device 400 includes a polymer body 421 that includesfirst and second polymer sheets 424, 425. First and second polymersheets 424, 425 are formed from a polyvinylchloride (PVC) material, suchas a medical grade PVC. In various example embodiments, the material hasa thickness between 2 mm and 30 mm, 4 mm and 15 mm, 6 mm and 12 mm, or athickness of about 8 mm. Alternatively or additionally, first and secondpolymer sheets 424, 425 are formed from a polypropylene, polyethylene,polyethylene terephthalate, polystyrene, polyamide, polyurethane, and/orsilicone.

The first and second polymer sheets 424, 425 can be cut into from bulksheet stock, such as by die cutting. The trapezoidal shape of first andsecond polymer sheets 424, 425 can facilitate efficient manufacturing offirst and second polymer sheets 424, 425 from bulk sheet stock whilereducing the amount of waste material that results from a cuttingoperation.

First and second polymer sheets 424, 425 are attached to one another ina sealing operation. For example, first and second polymer sheets 424,425 can be sealed to one another at least partially around perimeteredges of first and second polymer sheets 424, 425. After first andsecond polymer sheets 424, 425 are attached to one another, a cavity isformed between first and second polymer sheets 424, 425. The first andsecond flexible polymer sheets 424, 425 can be joined by heat staking,and/or welding, adhesive, rivets, or other techniques.

In an example manufacturing operation, first and second polymer sheets424, 425 are attached along a portion of respective perimeters such theentire perimeters are not attached. An additive, such as a fluidlubricant, antimicrobial/antibiotic material, and/or other component,can be introduced into the cavity formed between first and secondpolymer sheets 424, 425. The first and second polymer sheets 424, 425can be attached along the remaining portions of respective perimeteredges to seal the additive between the first and second polymer sheets424, 425. Such a manufacturing technique can facilitate introduction ofan additive between first and second polymer sheets 424, 425, andprovide a cavity between first and second polymer sheets 424, 425 thatis entirely sealed. In some embodiments, interior surfaces of first andsecond polymer sheets 424, 425 are sterilized and/or assembled in asterile environment, promoting sterility of the cavity formed betweenfirst and second polymer sheets 424, 425 and reducing or streamliningsterilization procedures in the operating environment at the time ofuse.

Surgical delivery device 400 includes one or more handles 430 attachedto exterior surfaces of first and second polymer sheets 424, 425.Handles 430 are formed from a polyvinylchloride (PVC) material, such asa medical grade PVC. In various example embodiments, the material has athickness between 2 mm and 30 mm, 4 mm and 15 mm, 6 mm and 12 mm, or athickness of about 8 mm. Alternatively or additionally, handles 430 areformed from a polypropylene, polyethylene, polyethylene terephthalate,polystyrene, polyamide, polyurethane, and/or silicone. In an exampleembodiment, handles 430 are formed from the same material as firstand/or second polymer sheets 424, 425 (e.g., same material composition,thickness, color, opacity, texture, etc.). In some embodiments, handles430 is formed from a material that differs from the material of firstand/or second polymer sheets 424, 425 in one or more characteristics,such as material composition, thickness, color, opacity, texture, etc.

The handles 430 can be cut into from bulk sheet stock, such as by diecutting. The handles are attached to first and second polymer sheets424, 425, respectively, such as by heat staking, and/or welding,adhesive, rivets, or other techniques.

Referring now to FIGS. 5A-5G, an example use of a surgical deliverydevice 500 is shown. In various example embodiments, surgical deliverydevice 500 includes one or more features as described herein withreference to surgical delivery devices 100, 200, 400, and surgicaldelivery devices 100, 200, 400 are configured for use including one ormore operations described with reference to surgical delivery device500.

Referring to FIG. 5A, an example opening operation of surgical deliverydevice 500 is shown. The example opening operation includes removingsurgical delivery device 500 from packaging. In some embodiments,surgical delivery device 500 is packaged in a protective wrapper at atime of manufacture, such as a protective wrapper to promote sterilityand/or mechanical integrity, reduce UV exposure, etc. The user 10 canremove surgical delivery 500 from the protective rapper in the operatingenvironment at a time of use. In some embodiments, surgical deliverydevice 500 is packaged in a folded configuration in which the surgicaldelivery device 500 is folded over itself at one or more locations(e.g., to fit in a predetermined package size). The example openingoperation can include unfolding, unrolling, or otherwise openingsurgical delivery device 500 into a planar configuration (e.g., such asa planar configuration shown in FIG. 2) and laying the surgical deliverydevice 500.

The example opening operation can be conducted using sterile techniques.For example, the packaging can be opened and passed into the sterilefield, or handed to a user in the sterile filed using steriletechniques.

Referring to FIG. 5B, an example kneading operation of surgical deliverydevice 500 is shown. In the example kneading operation, user 10 cangently knead or otherwise manipulate the exterior of the tapered guideconduit to ensure an additive within surgical delivery device 500 isevenly spread throughout the cavity. For example, user 10 can press thesurgical delivery device 500 to manipulate the additive to contact theentirety of internal surfaces that define the cavity of surgicaldelivery device 500. Alternatively or additionally, the example kneadingoperation includes smoothing the surgical delivery device 500 to adjustthe surgical delivery device 500 into a planar configuration, removecreases, etc. In an example operating, kneading the surgical deliverydevice 500 occurs on a sterile surface (e.g., within a sterile field).

Referring to FIG. 5C, an example separating operation of surgicaldelivery device 500 is shown. Separating operation includes cutting,tearing (e.g., along a weakened material line), or otherwise dividingsurgical delivery device 500 into two or more surgical delivery deviceportions. The user 10 can select a separation location based on aparticular application, patient anatomy, delivery location on thepatient, surgical opening size, implant size/type, and/or healthcarepractitioner ergonomics and operating preferences. In an exampleembodiment, separating operation includes separating surgical deliverydevice 500 to form two surgical delivery device portions having similargeometry. For example, surgical delivery device 500 can be separated bycutting surgical delivery device 500 along a midline 551 of surgicaldelivery device 500 to provide two surgical delivery device portions.Each of the resulting surgical delivery device portions include arelatively larger, cylindrical region 556 and a tapered region 527.

In various example embodiments, the separating operation includesseparating the surgical delivery device 500 at a location other thanmidline 551 of the surgical delivery device 500. Separating surgicaldelivery device 500 at a location other than midline 551 can result in asurgical delivery device portion having a selected configuration, or twoor more surgical delivery device portions having different geometries.For example, the separating operation can include separating thesurgical delivery device at a location where the surgical device beginsto taper, such as line 552, a location along a tapered portion, such asline 553, or one or more other locations of surgical delivery device500. In an example embodiment, the separating operating includes two ormore cuts, such as at each of lines 552, to form a rectangular surgicaldelivery device portion that can be expanded into a cylindrical shape.

In an example embodiment, separating the surgical delivery device 500includes unsealing the cavity of the surgical delivery device 500. Forexample, surgical delivery device 500 may be entirely sealed whenremoved from packaging at the time of use, such that there is no openinginto the interior cavity. Separating the surgical delivery device 500includes creating an opening into the cavity by cutting through thesurgical delivery device 500. In an example embodiment, the separatingoperation includes simultaneously creating an opening in each of thefirst and second surgical delivery device portions that result from theseparating operation.

Referring to FIG. 5D, an example trimming operation is shown. Thetrimming operation can be performed to provide a delivery opening havinga selected geometry. In an example embodiment, surgical delivery device500 includes a series of markings 542 proximate ends 529 thatfacilitates cutting surgical delivery device 500 to create a deliveryopening having a selected size or geometry. For example, markings 542include two or more lines having a different color, pattern, or otherdifferent visual appearance that correspond to different deliveryopening sizes. In an example embodiment, markings 542 correspond to awidth, circumference, diameter, etc., at the location of the respectivemarking. Alternatively or additionally, the markings can correspond to adelivery opening size configured to accommodate a particular implantsize. In an example embodiment, trimming operation includes selecting amarking (e.g., based on the particular application, patient anatomy,delivery location on the patient, surgical opening size, implantsize/type, and/or healthcare practitioner ergonomics and operatingpreferences), and cutting the surgical delivery device 500 along theline to form a delivery opening of predetermined geometry.

In an example embodiment, the trimming operation includes using a sizingtool 550 to select a cut location. Sizing tool 550 includes one or moremarkings 657 that correspond to markings 542 of surgical delivery device500, and that are indicative of delivery opening sizes, implantdimensions (e.g., volume), or other characteristics that facilitateselecting a cut location. The trimming operating includes aligningsizing tool 550 with one or more of markings 542 proximate end 529 toselect a cut location. After selecting a cut location, the trimmingoperating can include moving the sizing tool 550 away from end 529, andcutting the surgical delivery device 500 at the selected location.

In some embodiments, surgical delivery device 500 does not include aseries of markings 542. The trimming operation includes aligning sizingtool 550 proximate end 529, and selecting a cut location using markings557 (e.g., without reference to markings on the surgical delivery device500).

Alternatively or additionally, sizing tool 550 can be used as areference key. The trimming operation includes selecting a marking 542on surgical delivery device 500 with reference to sizing tool 550 (e.g.,without aligning sizing tool with end 529). For example, selecting amarking may include locating a marking 557 that corresponds with adesired delivery opening size and/or implant characteristic, and thenlocating the corresponding marking 542 on surgical delivery device 500based on the matching visual appearance (e.g., color, line type, etc.).

Referring now to FIG. 5E, an example opening operation is shown.Surgical delivery device 500 is manipulated from a first configuration(e.g., planar configuration) to a second configuration (e.g., expandedconfiguration). In an example embodiment, opening operation includesgrasping handles 530 of surgical delivery device 500 and pullingopposites sides away from each other. Handles 530 facilitate opening ofsurgical delivery device 500, as an additional grasping location or asan alternative to direct contact with an interior of cavity 522 and/orlateral edges (e.g., that define an opening) of surgical delivery device500.

Referring to FIG. 5F, an example loading operation is shown. In anexample embodiment, the loading operation includes pouring an implant 5(e.g., from a sterile container 570) into the cavity 522 of surgicaldelivery device 500. A user may pour sterile solution into cavity 522together with implant 5. In an example embodiment, a delivery opening issmaller than the size of implant 5 such that the implant can be retainedin cavity 522 when surgical delivery device 500 is in a verticalorientation. Implant 5 may be a prosthetic implant, such as a siliconebreast, gluteal, calf, pectoral, and/or facial implant. Alternatively oradditionally, implant 5 may be a tissue implant, such as an organ,tissue, or other cellular implant.

Referring to FIG. 5G, an example delivery operation is shown. In anexample embodiment, the delivery operation includes dispensing implant 5through the delivery opening 515 by squeezing or otherwise manipulatingimplant 5 using surgical delivery device 500. As user 10 pushes implant5 through delivery opening 515, implant 5 can be compressed, elasticallydeformed, or otherwise conformed to fit through delivery opening 515 andinto a surgical opening 511. In an example embodiment, compression ofimplant 5 as implant 5 passes through delivery opening 515 facilitatesdelivery into a relatively small surgical opening (e.g., compared to asize of implant 5), reducing patient trauma and improving patientoutcomes.

User 10 can manipulate and/or push implant 5 through walls of surgicaldelivery device 500. In some embodiments, a user may grasp handles 530with one or both hands during delivery to facilitate manipulation ofimplant 5 and/or advance implant 5 through delivery opening 515.

In an example embodiment, implant 5 can be delivered by surgicaldelivery device 500 without direct contact of implant 5 by the user. Forexample, the loading operation can be performed by pouring implant 5directly into cavity 522, and the delivery operation can be performed bymanipulating implant 5 through walls of surgical delivery device 500. Insome embodiments, the user may elect to contact implant 5 during loadingor delivery, such as by using a properly sterilized hand, glove,instrument, etc.

Referring now to FIG. 6, a plan view of an example surgical deliverydevice 600 is shown separated into multiple portions. In various exampleembodiments, surgical delivery device 600 includes one or more featuresas described herein with reference to surgical delivery device 100, 200,400, 500.

Surgical delivery device 600 is customizable at a point of use, such asin an operating environment, to provide one or more delivery sleeves ortapered guide conduits having a selected geometry for a particularapplication. Surgical delivery device 600 can be customized to provide aselected taper and/or one or more openings having a size based on theapplication, patient anatomy, delivery location on the patient, surgicalopening size, implant size, implant type, and/or healthcare practitionerergonomics and operating preferences. In an example embodiment, when ina flattened configuration, surgical delivery device 600 includes agenerally trapezoidal shape having a rectangular section 626, and one ormore tapered sections 627, 628. For example, rectangular section 626 maybe a middle section located between tapered sections 627, 628. In anexample embodiment, rectangular section 626 has a consistent diameteralong its length, and is manipulable into an expanded configuration todefine a cylindrical portion. Tapered sections 627, 628 have atriangular shape that tapers between rectangular section 626 and ends629 a, 629 b, and are manipulable into an expanded configuration todefine tapered guide portions.

Surgical delivery device 600 is shown separated into multiple surgicaldelivery device portions. For example, surgical delivery device 600 isshown separated into first, second, and third surgical delivery deviceportions 600 a, 600 b, 600 c (e.g., formed by separating surgicaldelivery device 600 along markings 641 a and 641 b). In an exampleembodiment, marking 641 a is located between rectangular section 626 andtapered section 628, and marking 641 b is located on tapered section627. As a result, surgical delivery device 600 is separated intoportions 600 a, 600 b, 600 c, having differing geometries and/or degreesof tapering. For example, portion 600 b tapers to a relatively largerdelivery opening 617 b compared to portions 600 a, 600 c that taper torelatively smaller delivery openings (e.g., which can be formed bycutting surgical delivery device 600 proximate ends 629 a, 629 b).

A user can use each of portions 600 a, 600 b, and/or 600 c to deliverimplants to a single patient, such as to deliver multiple implantshaving differing sizes or characteristics to different surgical openingson the patient. In some embodiments, one or more portions 600 a, 600 b,600 c, may be discarded, and one or more portions 600 a, 600 b, 600 chaving selected geometry used to deliver an implant.

Referring to FIGS. 7A-7B, an example surgical delivery device portion700 is shown in a first, planar configuration (FIG. 7A) and a second,expanded configuration (FIG. 7B). In various example embodiments,surgical delivery device 700 includes one or more features as describedherein with reference to surgical delivery device 100, 200, 400, 500,600.

Referring to FIG. 7A, surgical delivery device 700 has arectangular-shaped body section expandable into a cylindrical shape.Surgical delivery device 700 has equal-sized openings at ends 729 a, 729b, and can be used to deliver an implant without substantially deformingor compressing the implant as it is delivered from surgical deliverydevice 700.

Referring to FIG. 7B, an example delivery operation using surgicaldelivery device 700 is shown. In an example embodiment, the deliveryoperation includes dispensing implant 5 through the delivery opening715. The user 10 can gently manipulate implant 5 through the walls ofsurgical delivery device 700, causing the implant to be dispensed intosurgical opening 711. In an example embodiment, surgical delivery device700 is not tapered and/or delivery opening 715 is sufficiently larger(e.g., larger than implant 5) such that implant 5 is not compressedduring delivery from delivery opening 716.

User 10 can manipulate and/or push implant 5 through walls of surgicaldelivery device 700. In some embodiments, a user may grasp handles 730with one or both hands during delivery to facilitate manipulation ofimplant 5 and/or advance implant 5 through delivery opening 715.Surgical delivery device 700 facilitates delivery of implant 5 withoutdirect contact of implant 5 by the user. In some embodiments, the usercan elect to contact implant 5 during delivery, such as by using aproperly sterilized hand, glove, instrument, etc.

While this specification contains many specific implementation details,these should not be construed as limitations on the scope of thedisclosed technology or of what may be claimed, but rather asdescriptions of features that may be specific to particular embodimentsof particular disclosed technologies. Certain features that aredescribed in this specification in the context of separate embodimentscan also be implemented in combination in a single embodiment in part orin whole. Conversely, various features that are described in the contextof a single embodiment can also be implemented in multiple embodimentsseparately or in any suitable subcombination. Moreover, althoughfeatures may be described herein as acting in certain combinationsand/or initially claimed as such, one or more features from a claimedcombination can in some cases be excised from the combination, and theclaimed combination may be directed to a subcombination or variation ofa subcombination. Similarly, while operations may be described in aparticular order, this should not be understood as requiring that suchoperations be performed in the particular order or in sequential order,or that all operations be performed, to achieve desirable results.Particular embodiments of the subject matter have been described. Otherembodiments are within the scope of the following claims.

What is claimed is:
 1. A surgical delivery device customizable toprovide multiple implant guide conduits for delivery of implants,comprising: a flat and flexible main body defined by a rectangularsection between first and second tapered sections, the first taperedsection terminating in a first end that is smaller than a lateral widthof the rectangular section, and the second tapered section terminatingin a second end that is equally sized with the first end and smallerthan the lateral width of the rectangular section, wherein the flat andflexible main body is non-symmetric about a central longitudinal axis ofthe rectangular section extending in a longitudinal direction from thefirst tapered section to the second tapered section, and wherein one ormore of the rectangular section, the first tapered section, and thesecond tapered section the flat and flexible main body are separablefrom another to define multiple implant guide conduits; and multiplepairs of handles attached on opposing major surfaces of the flat andflexible main body to provide grasping locations when expanding at leastone of said sections of the main body into one of said implant guideconduits.
 2. The device of claim 1, wherein the flat and flexible mainbody comprises a pair of equally shaped polymer sheets attached togetheralong at least a majority of their peripheries.
 3. The device of claim2, wherein the first end of the first tapered section and the second endof the second are sealed.
 4. The device of claim 2, wherein the firstend of the first tapered section defines a first opening and the secondopening of the second tapered section defines a second opening equallysized with the first opening.
 5. The device of claim 1, furthercomprising cut lines formed on the main body and positioned proximate tothe first end of the first tapered section and the second end of thesecond tapered section so as to defined predetermined opening sizes whenthe first and second tapered sections define said multiple implant guideconduits.
 6. The device of claim 1, wherein the rectangular sectioncomprises a first lateral edge and a second lateral edge opposite fromthe first lateral edge, the first and second lateral edges extendingparallel to the central longitudinal axis of the rectangular section,wherein the first tapered section comprises a first tapered edgeextending from the first lateral edge toward the first end at a firsttaper angle, and a first straight edge collinear with the second lateraledge and extending toward the first end, and wherein the second taperedsection comprises a second tapered edge extending from the secondlateral edge toward the second end at a second taper angle equal to thefirst taper angle, and a second straight edge collinear with the firstlateral edge and extending toward the second end.
 7. The device of claim6, wherein the first taper angle and the second taper angle are between110-degrees and 170-degrees.
 8. The device of claim 1, wherein the flatand flexible main body is expandable to provide an interior cavitybetween a first side and a second side.
 9. The device of claim 8,wherein the flat and flexible main body is entirely opaque.
 10. Thedevice of claim 8, wherein the flat and flexible main body comprises atransparent window positioned between opaque wall regions such that theinterior cavity of the main body is viewable through the transparentwindow.
 11. The device of claim 10, wherein the transparent windowcomprising a transparent strip extending entirely from the first end tothe second end.
 12. The device of claim 8, further comprising anantimicrobial material positioned in the interior cavity of the mainbody.
 13. The device of claim 1, wherein the flat and flexible main bodyis non-symmetric about a central lateral axis of the rectangular sectionpositioned midway between the first tapered section and the secondtapered section and perpendicular to the central longitudinal axis. 14.The device of claim 1, wherein the first end of the first taperedsection is laterally spaced apart from the central longitudinal axis ona first side lateral side of the central longitudinal axis, and thesecond end of the second tapered section is laterally spaced apart fromthe central longitudinal axis on a second side lateral side oppositefrom the first lateral side.
 15. The device of claim 1, furthercomprising a first intermediate cut line formed on the main body andpositioned at a first end of the rectangular section adjacent the firsttapered section for separating the first tapered section from therectangular section, a second intermediate cut line formed on the mainbody and positioned at a second end of the rectangular section adjacentthe second tapered section for separating the second tapered sectionfrom the rectangular section, and a third intermediate cut line formedon the main body and positioned along a central lateral axis of therectangular section midway between the first tapered section and thesecond tapered section.
 16. A surgical delivery device customizable toprovide multiple implant guide conduits for delivery of implants,comprising: a flat and flexible main body having a generally trapezoidalshape defined by a rectangular section between first and second taperedsections, the first tapered section terminating in a first end and thesecond tapered section terminating in a second end equally sized withthe first end, wherein the flat and flexible main body is non-symmetricabout a central longitudinal axis of the rectangular section extendingin a longitudinal direction from the first tapered section to the secondtapered section, and wherein one or more of the rectangular section, thefirst tapered section, and the second tapered section the flat andflexible main body are separable from another to define multiple implantguide conduits; and multiple pairs of handles attached to opposingexterior sides of the flat and flexible main body to provide graspinglocations when expanding at least one of said sections of the main bodyinto one of said implant guide conduits, wherein the flat and flexiblemain body comprises a pair of planar polymer sheets attached along atleast a portion of a periphery of the generally trapezoidal shape,wherein the first end of the first tapered section defines a firstopening and the second opening of the second tapered section defines asecond opening equally sized with the first opening, and wherein thefirst opening of the first tapered section is laterally spaced apartfrom the central longitudinal axis on a first side lateral side of thelongitudinal axis, and the second opening of the second tapered sectionis laterally spaced apart from the central longitudinal axis on a secondside lateral side opposite from the first lateral side.
 17. The deviceof claim 16, wherein the flat and flexible main body is expandable toprovide an interior cavity between a first side and a second side. 18.The device of claim 17, wherein the flat and flexible main bodycomprises a transparent window positioned between opaque wall regionssuch that the interior cavity of the main body is viewable through thetransparent window.
 19. A surgical delivery device customizable toprovide multiple implant guide conduits for delivery of implants,comprising: a flat and flexible main body having a generally trapezoidalshape defined by a rectangular section between first and second taperedsections, the first tapered section terminating in a first end and thesecond tapered section terminating in a second end equally sized withthe first end, wherein the flat and flexible main body is non-symmetricabout a central longitudinal axis of the rectangular section extendingin a longitudinal direction from the first tapered section to the secondtapered section, and wherein one or more of the rectangular section, thefirst tapered section, and the second tapered section the flat andflexible main body are separable from another to define multiple implantguide conduits; multiple pairs of handles attached to opposing exteriorsides of the flat and flexible main body to provide grasping locationswhen expanding at least one of said sections of the main body into oneof said implant guide conduits cut lines formed on the main body andpositioned proximate to the first end of the first tapered section andthe second end of the second tapered section so as to definedpredetermined opening sizes when the first and second tapered sectionsdefine said multiple implant guide conduits; and a first intermediatecut line formed on the main body and positioned at a first end of therectangular section adjacent the first tapered section, a secondintermediate cut line formed on the main body and positioned at a secondend of the rectangular section adjacent the second tapered section, anda third intermediate cut line formed on the main body and positionedalong a central lateral axis of the rectangular section midway betweenthe first tapered section and the second tapered section, wherein one ormore of the rectangular section, the first tapered section, and thesecond tapered section the flat and flexible main body are separable atthe first, second, and third intermediate cut lines so as to define saidmultiple implant guide conduits.
 20. The device of claim 19, wherein thefirst and second tapered sections are separable from the rectangularsection and expandable via respective ones of said pairs of handles todefine first and second tapered guide conduits for delivery of first andsecond implants to first and second targeted pockets.
 21. The device ofclaim 19, wherein the rectangular section is separable from the firstand second tapered sections and expandable via at least one of saidpairs of handles to define a cylindrical guide conduits for delivery ofan implants to a targeted pocket.
 22. The device of claim 19, whereinthe flat and flexible main body is expandable to provide an interiorcavity between a first side and a second side.
 23. The device of claim22, wherein the flat and flexible main body comprises a transparentwindow positioned between opaque wall regions such that the interiorcavity of the main body is viewable through the transparent window.